| NPI | 1760800429 |
|---|---|
| Former Name | REGINA SHANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD465397) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT209645) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2019-08-29 |