| NPI | 1124991971 |
|---|---|
| Former Name | DEBORAH SHAFFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0024192203) |
| Enumeration Date | 2025-09-27 |
| Last Update Date | 2025-09-27 |