| NPI | 1376843847 |
|---|---|
| Former Name | SHELBY ELIZABETH WOODWARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0007488) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA054523) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO PA.0007488) | |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2023-01-12 |