| NPI | 1083218101 |
|---|---|
| Former Name | SHELBY PERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71010545A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28224713A) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2024-04-17 |