| NPI | 1972735819 |
|---|---|
| Former Name | HANNAH LEIGH SHELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA.200243) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9104793) |
| 363A00000X Physician Assistant (Licence: MS PA00619) | |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2023-01-04 |