NPI | 1568070738 |
---|---|
Former Name | BETH RENAE SHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: FL APRN11010461) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TX 955866) |
Enumeration Date | 2020-07-14 |
Last Update Date | 2024-02-21 |