| NPI | 1295375020 |
|---|---|
| Former Name | SHELBY KOSTAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA7954) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA PA7954) |
| 363A00000X Physician Assistant | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2025-08-27 |