| NPI | 1891923298 |
|---|---|
| Former Name | SHIRLEY GENE DATU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A11626) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2015-07-09 |