| NPI | 1992948327 |
|---|---|
| Former Name | SHANNON MARIE PINKELMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-143835) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 25975) |
| 208000000X Pediatrics (Licence: MI 4301107753) | |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2017-11-02 |