| NPI | 1235147646 |
|---|---|
| Former Name | SHELYNA A THAWER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201700411NP-PP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 837041) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-12-01 |