NPI | 1053970574 |
---|---|
Former Name | SHELBY ANNE BOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3013447) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3103447) |
Enumeration Date | 2019-06-08 |
Last Update Date | 2021-06-11 |