| NPI | 1831451772 |
|---|---|
| Former Name | STEPHANIE O'DEA SHINN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: SC 34752) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL34752) |
| 208000000X Pediatrics (Licence: SC LL34752) | |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2021-08-18 |