| NPI | 1730930611 |
|---|---|
| Former Name | SHALA MARIE RITCHA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2026011637) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 78291) |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2026-04-10 |