NPI | 1356305478 |
---|---|
Former Name | SHARON LYNN SCHROEDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: KY 30584) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35 075729) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 30584) | |
Enumeration Date | 2006-04-14 |
Last Update Date | 2014-11-03 |