| NPI | 1235651415 |
|---|---|
| Former Name | SHAREE DILDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-07262) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 3290) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-10 |