| NPI | 1255592465 |
|---|---|
| Former Name | SHALON MARIE HECKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: CA A155289) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A155289) |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: NM MD2014-0119) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2018-06-19 |