NPI | 1972907699 |
---|---|
Former Name | SHEA SOLICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN277423) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 0112168) |
Enumeration Date | 2014-10-09 |
Last Update Date | 2020-06-22 |