| NPI | 1831646991 |
|---|---|
| Former Name | KRISTEN ANGELENE SHELHORSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209013955) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2024-10-14 |