| NPI | 1215198312 |
|---|---|
| Former Name | SHIRA SELEVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381951-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 574895-1) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2011-02-11 |