| NPI | 1659754810 |
|---|---|
| Former Name | SHANNON LEIAMBRE MORGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D-874) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: ID D-874) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2019-07-25 |