| NPI | 1881081271 |
|---|---|
| Former Name | SHANNON CUMMINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 58016) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 58016) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 58016) | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2022-05-17 |