| NPI | 1922234988 |
|---|---|
| Former Name | SHANNA MARIE MCGETTRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901020026) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN28932) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2025-03-13 |