NPI | 1720382849 |
---|---|
Other Name | CONSWALLA SHAVERS-MCCANTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: DE C1-0007808) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT045857T) |
208D00000X General Practice (Licence: DE C1-0007808) | |
Enumeration Date | 2011-01-04 |
Last Update Date | 2021-04-27 |