NPI | 1144802364 |
---|---|
Former Name | SHELBY WEBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036174791) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-04-27 |
Last Update Date | 2025-07-16 |