| NPI | 1265925382 |
|---|---|
| Former Name | REBECCA LYNN SHAFFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12783) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-08148) |
| 363AM0700X Physician Assistant, Medical (Licence: OK 3145) | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2024-05-02 |