| NPI | 1003547944 |
|---|---|
| Former Name | SHELBY LYNN WHALEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: IL 041.502886) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2026-06-29 |