| NPI | 1053706887 |
|---|---|
| Former Name | SHANA FLICKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CT 061540) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 61540) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2021-08-18 |