| NPI | 1295872380 |
|---|---|
| Former Name | SHELLEY ANN DUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA052627) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: PA MA052627) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-06-19 |