| NPI | 1811422702 |
|---|---|
| Former Name | SHAW VONDER HOYA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 67136) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1204821469X) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2021-10-26 |