NPI | 1912106832 |
---|---|
Former Name | SUSAN SCHOR SHEPPARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP6311) |
Enumeration Date | 2007-07-11 |
Last Update Date | 2022-07-21 |