NPI | 1609287358 |
---|---|
Former Name | SHELLY M COMPTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60825921) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TN 626001636) |
Enumeration Date | 2014-05-15 |
Last Update Date | 2022-12-13 |