Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | PD318R | LA |
NPI | 1518900885 |
---|---|
Provider Name | Dr. Mary Theresa Sheriff |
First Address | New Orleans, LA 70122-3875 |
Second Address | New Orleans, LA 70122-3875 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 15/07/2009 |