| NPI | 1306578638 |
|---|---|
| Former Name | SHELBY JO SPICKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101759) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 81623) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2023-05-30 |