| NPI | 1083040984 |
|---|---|
| Former Name | BECKI L SHAFFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3580) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 017035) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2020-11-17 |