| NPI | 1629068440 |
|---|---|
| Former Name | ROBIN BETH SHEPARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 62030) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 25226) |
| 282N00000X General Acute Care Hospital (Licence: IL 125053872) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2023-03-06 |