| NPI | 1013081561 |
|---|---|
| Former Name | LISA M SHAFFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NE 110478) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NE 110478) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2025-12-04 |