| NPI | 1881896553 |
|---|---|
| Former Name | JOANNA ETHEL TAHSIO SHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TN M0000044802) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN M0000044802) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2016-06-17 |