| NPI | 1225764806 |
|---|---|
| Former Name | SHELLY RAE GATHERCOLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2278C0205X Respiratory Therapist, Certified, Critical Care (Licence: IA 01852) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |