NPI | 1528705001 |
---|---|
Former Name | LYDIA ELYSE SHARP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IA DO-06953) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-12442) |
Enumeration Date | 2022-05-17 |
Last Update Date | 2025-04-22 |