NPI | 1770503575 |
---|---|
Former Name | CLARE M SHERIDAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A42818) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA A42818) |
207RA0401X Internal Medicine, Addiction Medicine (Licence: CA A42818) | |
2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: CA A42818) | |
2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA A42818) | |
2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA A42818) | |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA A42818) | |
Enumeration Date | 2006-07-21 |
Last Update Date | 2019-08-10 |