NPI | 1952053043 |
---|---|
Former Name | SHELBI RENE MILES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017368) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 1141289) |
Enumeration Date | 2022-01-20 |
Last Update Date | 2023-08-22 |