| NPI | 1881020238 |
|---|---|
| Former Name | SHANNON EDDINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2021-05-05 |