| NPI | 1508063413 |
|---|---|
| Former Name | SHELBY L LANTIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304633) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 6074814) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2022-09-06 |