| NPI | 1255658399 |
|---|---|
| Former Name | HEATHER ANN SHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 56909) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 107108) |
| 207P00000X Emergency Medicine (Licence: WI 71332) | |
| 207P00000X Emergency Medicine (Licence: NC 2012-01545) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2024-03-13 |