| NPI | 1598969602 |
|---|---|
| Former Name | SHANNON LYNN RODEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M4928) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX M4928) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2014-03-17 |