NPI | 1285053215 |
---|---|
Former Name | CAMILLE SHANEE STRACHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2017-00943) |
Additional Taxonomies | 208D00000X General Practice (Licence: NC 2017-00943) |
Enumeration Date | 2014-04-07 |
Last Update Date | 2025-07-14 |