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 |