| NPI | 1396023297 |
|---|---|
| Former Name | SHELLA ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: TX 662430) |
| Additional Taxonomies | 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: TX 662430) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |