| NPI | 1235397662 |
|---|---|
| Former Name | TROY LEE SHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME123757) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 071873) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2023-01-24 |