| 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 |