| NPI | 1659664225 |
|---|---|
| Former Name | SHANNON ELIZABETH CASSEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MO 2017026478) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2017026478) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2022-07-21 |