| NPI | 1720129562 |
|---|---|
| Other Name | MARTA SHANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IN 10000728) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10000728A) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2021-04-01 |