NPI | 1457587909 |
---|---|
Former Name | YEAMIE MARIE SHEREF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: PA MD454655) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2009013737) |
2085P0229X Radiology Pediatric Radiology (Licence: PR MT205539) | |
Enumeration Date | 2009-06-10 |
Last Update Date | 2015-07-01 |