| NPI | 1417686619 |
|---|---|
| Former Name | CYNTHIA YVONNE SHELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA 234615) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1086155) |
| 363LF0000X Nurse Practitioner Family (Licence: KY 3017955) | |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2024-08-23 |