| NPI | 1841233053 |
|---|---|
| Former Name | SHAWN J SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: KY 41130) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 41130) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-07 |