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 |