NPI | 1104589571 |
---|---|
Professional Name | SHELBY HOLMES HOGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0011790) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011790) |
Enumeration Date | 2021-10-21 |
Last Update Date | 2021-12-20 |