NPI | 1407077845 |
---|---|
Former Name | SHASHANNA BUTTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 263257) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 263257) |
207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: IL 036133172) | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2016-05-30 |