| NPI | 1679868640 |
|---|---|
| Former Name | SHELBY KATHERYN ADDISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NC 2019-01251) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 33827) |
| 207V00000X Obstetrics & Gynecology (Licence: SC LL33827) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2019-07-30 |