NPI | 1356426639 |
---|---|
Former Name | SHELLY J BIBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.001999) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 41.5001) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2024-02-06 |