| NPI | 1518312461 |
|---|---|
| Former Name | HEATHER ASHLEY SHAFFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: SC 90675) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 90675) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2023-12-13 |