NPI | 1184422313 |
---|---|
Former Name | SHELLY BUHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: SD R036144) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2071105) |
Enumeration Date | 2025-03-04 |
Last Update Date | 2025-03-04 |