| NPI | 1205176476 |
|---|---|
| Former Name | SHELLY MARIE SIEBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WY 35180-1385) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 146502) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2021-06-08 |