| NPI | 1639284581 |
|---|---|
| Former Name | SHELBY CHRISTINA ARCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA950) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-08278) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2024-12-12 |