| NPI | 1811336050 |
|---|---|
| Former Name | SHAWNA ROSE SCHANTNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 3126-23) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 3126-23) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2021-12-20 |