| NPI | 1578030334 |
|---|---|
| Former Name | SHELBY IRENE DEWITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11031162) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704249824) |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2025-06-06 |