| NPI | 1992566806 |
|---|---|
| Former Name | SHELBY M BURROUGHS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61526448) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61526448) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28251063C) | |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-08-15 |