NPI | 1417156274 |
---|---|
Other Name | SHARONDA A SHAW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS15645) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-126062) |
207Q00000X Family Medicine (Licence: IN 02003385A) | |
Enumeration Date | 2007-07-12 |
Last Update Date | 2023-08-25 |