| NPI | 1770735532 |
|---|---|
| Former Name | CARLA JOBETH SHELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-445) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AR PA-445) |
| 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-01506) | |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2024-05-30 |