| NPI | 1972059038 |
|---|---|
| Former Name | SHELBY LYNNE RANSDELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL 9116652) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA0004370) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2023-05-22 |