| NPI | 1285901132 |
|---|---|
| Former Name | DANITA LYNN SHIRLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R197675) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R197675) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |