| NPI | 1730376633 |
|---|---|
| Former Name | SHELBY J GUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP11675) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R29047) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2020-07-14 |