| NPI | 1891088910 |
|---|---|
| Former Name | SHANNON LEIGH DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME120329) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME120329) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 16178) | |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2021-03-10 |