NPI | 1073646931 |
---|---|
Former Name | SHELLEY ROWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R135318) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP011685) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2022-12-15 |