| NPI | 1336124924 |
|---|---|
| Former Name | KAREN L SHAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 102021) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 102021) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 102021) | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2023-08-04 |