| NPI | 1396343992 |
|---|---|
| Former Name | SHELBY TAYLOR LAWRENCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA 61478070) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 10014247) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2024-10-15 |