| NPI | 1821021551 |
|---|---|
| Former Name | ROBIN SUSAN SHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301106249) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036110515) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2021-02-24 |