NPI | 1639434087 |
---|---|
Former Name | ALLISON MARIE SHANNON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MD D0083048) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D83048) |
Enumeration Date | 2012-07-11 |
Last Update Date | 2021-10-13 |