| NPI | 1235763129 |
|---|---|
| Former Name | SHELBY LYNN PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10016013) |
| 174H00000X Health Educator | |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2024-10-09 |