| NPI | 1992071609 |
|---|---|
| Former Name | MARY SHANNON ROSADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 57339) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01076935A) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2023-03-22 |