| NPI | 1902242506 |
|---|---|
| Former Name | JEANA L SHELLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR DO193479) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OR DO193479) |
| 207Q00000X Family Medicine (Licence: OR DO193479) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: OR DO193479) | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2022-05-23 |