| 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 |