| NPI | 1265927230 |
|---|---|
| Former Name | JENNIFER ERIN SHAPIRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 7861) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 8836) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2020-06-15 |