NPI | 1588643175 |
---|---|
Former Name | ROXANNE M. SHELENBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704185591) |
Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: MI 4704185591) |
Enumeration Date | 2006-01-11 |
Last Update Date | 2024-04-01 |