| NPI | 1881017150 |
|---|---|
| Former Name | DANA SHOOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 2550) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA09019) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2023-03-07 |