NPI | 1639415979 |
---|---|
Other Name | SHIELLAH BLANCAFLOR JAMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.000750) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28227760A) |
Enumeration Date | 2012-12-13 |
Last Update Date | 2020-06-25 |