| NPI | 1093969735 |
|---|---|
| Former Name | SHAWNA BOUWERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.097076) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD441533) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2016-12-28 |