| 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 |