NPI | 1427113265 |
---|---|
Former Name | SALLY M HUR SHAFFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00105200) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NJ MP00105200) |
363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP001052) | |
Enumeration Date | 2006-12-22 |
Last Update Date | 2008-03-24 |