NPI | 1790131514 |
---|---|
Former Name | SHELBY EATON (MAIDEN), RAUH (PROFESSIONAL) |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 8152) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 4760) |
390200000X Student in an Organized Health Care Education/Training Program | |
235Z00000X Speech-Language Pathologist, (Licence: AR SP#P9061) | |
Enumeration Date | 2016-05-11 |
Last Update Date | 2024-01-29 |