| NPI | 1053976571 |
|---|---|
| Former Name | SHELBY JAE COX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA060591) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA004799) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |