| NPI | 1629337902 |
|---|---|
| Former Name | SHANNON N RECORDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ME PA1327) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NH 0900) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2023-11-13 |