| NPI | 1477520195 |
|---|---|
| Former Name | SHEILA MAE GARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101040429) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101040429) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2012-01-03 |