NPI | 1902638885 |
---|---|
Former Name | VICTORIA MICHELLE SHAFFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F433047-01) |
Enumeration Date | 2024-08-19 |
Last Update Date | 2025-08-28 |