| NPI | 1104764299 |
|---|---|
| Former Name | SHELLY KISER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2026-03-23 |
| Last Update Date | 2026-03-23 |