| NPI | 1497999247 |
|---|---|
| Former Name | AMY NICHOLE SHELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 972) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL 972) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2020-08-24 |