| NPI | 1487661666 |
|---|---|
| Former Name | LORNA DIANNE SHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2005034478) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35-0-78975) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-03-07 |