| NPI | 1093124836 |
|---|---|
| Former Name | JULIE SHELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.16339-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA.16339-NP) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH COA.16339-NP) | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2017-10-27 |