| NPI | 1659551224 |
|---|---|
| Former Name | SHELLENE HERBIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71006754A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209002670) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2021-03-04 |