| NPI | 1134206147 |
|---|---|
| Former Name | MYRA LOUISE CRANSHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD21669) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0051418) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |