| NPI | 1053350330 |
|---|---|
| Former Name | SUSAN JOY SHAPERO (MAIDEN NAME) |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.045221) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35045221) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2012-12-03 |