| NPI | 1437189255 |
|---|---|
| Former Name | CANDACE DANETTE SHAFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E4837) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E4837) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2009-12-08 |