| NPI | 1831132356 |
|---|---|
| Former Name | TRUDY Y SHEPARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MT 100390) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 100390) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MT RN25592) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2019-08-08 |