| NPI | 1164912762 |
|---|---|
| Former Name | MELISSA SHULTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209017861) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209017861) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL AG0518002) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2022-11-18 |