NPI | 1215569009 |
---|---|
Former Name | SHELBY MARIE ORNDOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61228632) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WA RN60425195) |
363L00000X Nurse Practitioner (Licence: WA AP61228632) | |
Enumeration Date | 2020-02-10 |
Last Update Date | 2022-01-03 |