| NPI | 1881039691 |
|---|---|
| Former Name | HEATHER A SHAWLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PA SP012860) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP012860) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2021-05-26 |