NPI | 1558598292 |
---|---|
Former Name | MICHELLE SHAROBEEM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OT012883&OS015355) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT012883) |
207Q00000X Family Medicine (Licence: PA OT012883) | |
207Q00000X Family Medicine (Licence: PA OS015355&OT012883) | |
Enumeration Date | 2009-06-21 |
Last Update Date | 2011-11-16 |