NPI | 1063694289 |
---|---|
Former Name | LYNN ROCHELLE SHAPIRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A97034) |
Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: CA A97034) |
Enumeration Date | 2007-11-29 |
Last Update Date | 2015-08-25 |