| NPI | 1104023167 |
|---|---|
| Former Name | JULIA SHAKLEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: PA MD435126) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT189071) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2016-02-11 |