NPI | 1760277719 |
---|---|
Former Name | SHANNON FLOWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX 802571) |
Enumeration Date | 2025-04-10 |
Last Update Date | 2025-04-23 |