| NPI | 1588614283 |
|---|---|
| Former Name | SHANNA YVONNE HARVEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: TN PA877) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN PA877) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2019-06-11 |