NPI | 1457694390 |
---|---|
Former Name | SHELBY CLEMENTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: ID M15201) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60721548) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-03-28 |
Last Update Date | 2024-04-23 |