| NPI | 1104197144 |
|---|---|
| Former Name | SHELLEY KUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0990236-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 990236) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2018-10-16 |