| NPI | 1811032485 |
|---|---|
| Former Name | SHERIDA DANIELLE DUBOSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 01078465) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301078465) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2012-07-12 |