| NPI | 1861434441 |
|---|---|
| Former Name | SHELIA D SELF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD00038132) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA 38132) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2023-03-08 |