NPI | 1447387758 |
---|---|
Former Name | SHELLY K SHORT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: SD R025813) |
Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: SD R025813) |
163WP1700X Registered Nurse, Perinatal (Licence: SD R025813) | |
Enumeration Date | 2007-02-27 |
Last Update Date | 2007-07-09 |