NPI | 1295086155 |
---|---|
Former Name | SHARI NOLANA REID |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MA 271058) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT202150) |
Enumeration Date | 2012-10-01 |
Last Update Date | 2023-06-12 |