| NPI | 1760085740 |
|---|---|
| Former Name | MOLLY ANN SHANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1033009) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 942518) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2023-04-17 |