NPI | 1104925494 |
---|---|
Other Name | SHANNON HERD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0036504) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 051761) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2021-04-20 |