NPI | 1194960831 |
---|---|
Former Name | SHELLEY LYNN FERENCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN545056) |
Enumeration Date | 2008-12-10 |
Last Update Date | 2020-10-01 |