| NPI | 1093806382 |
|---|---|
| Former Name | SHELLEE RAE MIYASATO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: CA A66921) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A66921) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2024-05-30 |