NPI | 1760379226 |
---|---|
Former Name | AMY SHELHART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71016637A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71016637A) |
Enumeration Date | 2025-06-18 |
Last Update Date | 2025-08-04 |