NPI | 1780705335 |
---|---|
Former Name | SHARONDA JANEYA ALSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX M5949) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX m5949) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2011-08-17 |