NPI | 1558456178 |
---|---|
Former Name | SHARI ALEENE SCOTT-JACKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q4434) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2006-01257) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2018-11-30 |