| NPI | 1700390861 |
|---|---|
| Former Name | DYMAN CHRISTIAN SHEPHERD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL ME162378) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036154382) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2023-07-17 |