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 | 2024-08-27 |