| NPI | 1932310687 |
|---|---|
| Former Name | SHEYENNE WILBORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.200925) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 200925) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-06-21 |