| NPI | 1437129319 |
|---|---|
| Former Name | SHELLY ZEIRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME129378) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 211033) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2017-03-08 |