| NPI | 1740274448 |
|---|---|
| Former Name | MARTHA GENE SHAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-3280) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E3280) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2024-02-13 |