| NPI | 1689669996 |
|---|---|
| Former Name | SHELIA RENEE MERRITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 1266) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TN PA1266) |
| 363AM0700X Physician Assistant, Medical (Licence: CO 2401) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2019-01-22 |