| NPI | 1285199133 |
|---|---|
| Former Name | SHELBY LANE HOLDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR 120139) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R096215) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2020-06-23 |