| NPI | 1669665303 |
|---|---|
| Former Name | SHANNON BRADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP009125) |
| Additional Taxonomies | 163WX0601X Registered Nurse, Otorhinolaryngology & Head-Neck (Licence: PA RN536907) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2018-02-21 |