| NPI | 1477899441 |
|---|---|
| Former Name | SHELLY RICHARDS BELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 2998) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-03974) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2024-02-01 |