| NPI | 1821499385 |
|---|---|
| Former Name | LAUREN MEGAN SHANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171936) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1034706) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2021-08-05 |