NPI | 1306568944 |
---|---|
Former Name | SHELBY P HUGHBANKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 71014381A) |
Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: IN 798370) |
Enumeration Date | 2022-09-12 |
Last Update Date | 2023-11-07 |