| NPI | 1952575854 |
|---|---|
| Former Name | SHAWYNTEE MIREILLE VERTILUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME131416) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 208000000X) |
| 208000000X Pediatrics (Licence: FL ME131416) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX P1706) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2023-08-21 |