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 |