NPI | 1881331783 |
---|---|
Former Name | SHELBY ALLEN HIGGINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1078219) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1078219) |
Enumeration Date | 2022-05-13 |
Last Update Date | 2025-02-17 |