NPI | 1578631446 |
---|---|
Former Name | MONICA IRENE SHELLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30008045) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP009255) |
163W00000X Registered Nurse (Licence: WA RN00177526) | |
Enumeration Date | 2006-12-01 |
Last Update Date | 2013-05-03 |