| NPI | 1326495318 |
|---|---|
| Former Name | SHELLY BHASIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: TX S7557) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10057503) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2025-04-01 |