| NPI | 1578997698 |
|---|---|
| Former Name | ALLISON SHANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 5777) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AZ 5777) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2024-05-23 |