NPI | 1992811947 |
---|---|
Other Name | SHANNON IONE SCHULTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 35454) |
Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0101235064) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2018-12-04 |