NPI | 1043555691 |
---|---|
Former Name | SHARON MARIE NOLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008267) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14019-NP) |
Enumeration Date | 2012-12-10 |
Last Update Date | 2016-06-08 |