Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 5315051983 | MI |
NPI | 1659539112 |
---|---|
Provider Name | Namita Sharma |
First Address | Ann Arbor, MI 48105 |
Second Address | Ann Arbor, MI 48105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2008 |
Last Update Date | 08/12/2011 |