NPI | 1649766429 |
---|---|
Former Name | SHAWNESE LAUREN SAMANTHA GILPIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0091831) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD210001555) |
208M00000X Hospitalist (Licence: MD D91831) | |
208000000X Pediatrics (Licence: IL 125.073399) | |
Enumeration Date | 2018-07-05 |
Last Update Date | 2023-08-17 |