| NPI | 1356796874 |
|---|---|
| Former Name | AMY L SHAFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: IL 209014035) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209014035) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2023-04-11 |