NPI | 1841954328 |
---|---|
Former Name | ELIZABETH D SHELTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2021040204) |
Enumeration Date | 2021-10-29 |
Last Update Date | 2024-04-02 |