| NPI | 1114301165 |
|---|---|
| Former Name | SHELLY HAMMEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP015543) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22865) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV APRN 82589-NP-C) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP015543) | |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2024-06-20 |