NPI | 1386715043 |
---|---|
Former Name | SHEILA MARIE FALLON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA G54225) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA G54225) |
208000000X Pediatrics (Licence: CA G54225) | |
Enumeration Date | 2006-11-13 |
Last Update Date | 2011-08-24 |