| NPI | 1174330732 |
|---|---|
| Former Name | ALEXANDRIA GRACE SHELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-185023) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: AL 1-185023) |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2025-01-15 |