NPI | 1528454238 |
---|---|
Former Name | SHELLEY KATHERINE ROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01087235A) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 169120) |
208M00000X Hospitalist (Licence: CA A169120) | |
Enumeration Date | 2015-04-09 |
Last Update Date | 2023-03-20 |