| NPI | 1194912865 |
|---|---|
| Former Name | AMANDA CATHERINE SHELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 1682410) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CO PN-40613) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2023-01-11 |