| NPI | 1639597503 |
|---|---|
| Other Name | SHANNON D MACKENZIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD182338) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2018-07-31 |