| NPI | 1235400623 |
|---|---|
| Former Name | SHELBY L RIVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209020424) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2012001557) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2020-01-30 |