NPI | 1063859809 |
---|---|
Other Name | LISA SHAW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NE 28169) |
Additional Taxonomies | 208D00000X General Practice (Licence: NE 28169) |
Enumeration Date | 2013-06-03 |
Last Update Date | 2024-08-05 |