| NPI | 1851110241 |
|---|---|
| Former Name | LIBERTY ANN SHOONOVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IN 129930) |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-11-05 |