| NPI | 1962747311 |
|---|---|
| Former Name | SHELIA MARCEL MCBRIDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704194122) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704194122) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2016-10-03 |