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 |