| NPI | 1912358565 |
|---|---|
| Former Name | MELEAH SHIELDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO MO-2013039537) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209014382) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2021-01-26 |