NPI | 1912018987 |
---|---|
Other Name | SHANNON OCONNOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 53192) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 53192) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2023-09-20 |