| NPI | 1699189332 |
|---|---|
| Former Name | AMY SHOEMYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-144576) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2017018224) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2023-11-27 |