| NPI | 1194137059 |
|---|---|
| Former Name | SHELLEY ANNE GALLAGHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: MI 4704247038) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704247038) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2025-02-10 |