NPI | 1154489094 |
---|---|
Other Name | ELIZABETH SHEPARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA G61336) |
Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: CA G61336) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2024-04-11 |