| NPI | 1417564576 |
|---|---|
| Former Name | SHELBY E VIDOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010910) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-APN.0101462-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0101462-C-NP) | |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2024-10-04 |