| NPI | 1578975645 |
|---|---|
| Former Name | SHANNON LYNN BOWZER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-43714) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R-09966) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2017-04-11 |