| NPI | 1154722155 |
|---|---|
| Former Name | SHELBY A MYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60463924) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID PA-2541) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2025-07-24 |