| NPI | 1770719668 |
|---|---|
| Former Name | SHANNON GAMMILL SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 208173) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P1727) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2016-10-25 |