NPI | 1154356533 |
---|---|
Former Name | SHELLEY ELAINE WETSELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AR E-7121) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-7121) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2020-02-04 |