| NPI | 1184762346 |
|---|---|
| Former Name | SHEENA GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A82330) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 58476) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-01-30 |