| NPI | 1518602044 |
|---|---|
| Former Name | SCHELLE R BASHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IN 85939) |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2025-02-24 |