NPI | 1548723166 |
---|---|
Former Name | SHELBY LYNN GRAF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036.176711) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.176711) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-10 |
Last Update Date | 2025-09-03 |