| NPI | 1790999100 |
|---|---|
| Former Name | CHRISTY SHAFFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX m8331) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2007035572) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2016-08-18 |