| NPI | 1013687029 |
|---|---|
| Former Name | TIA DOMINIQUE SHARP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704311021) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704311021) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2023-04-20 |