| 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 |