NPI | 1346582590 |
---|---|
Former Name | SHAE S ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AR E-13583) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-13583) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-03-25 |
Last Update Date | 2020-12-16 |