| NPI | 1154075752 |
|---|---|
| Former Name | LILLIAN SHADE EPES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AL 2600) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2025-05-31 |