| NPI | 1083092712 |
|---|---|
| Former Name | SHARON PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 89581) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101023760) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2021-07-21 |