| NPI | 1053814921 |
|---|---|
| Former Name | SHEILA RENEE LOVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-78115-111) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2024-03-01 |