| NPI | 1083722508 |
|---|---|
| Former Name | SHELLEY KAY RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 100637) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D101829) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |