NPI | 1144283714 |
---|---|
Former Name | SHARON MICHAEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 067076) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD417432) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2018-05-09 |