NPI | 1720254261 |
---|---|
Former Name | SHANNON FLYNN BECKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD039383) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0116019405) |
Enumeration Date | 2008-05-05 |
Last Update Date | 2011-08-29 |