| NPI | 1972746444 |
|---|---|
| Former Name | SHANNA RENEE LASSITER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2014006556) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P1800) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2019-04-17 |