NPI | 1700545332 |
---|---|
Former Name | SHELBY A KEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 014597) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95019366) |
Enumeration Date | 2021-12-10 |
Last Update Date | 2025-05-28 |