NPI | 1083680540 |
---|---|
Former Name | SHARON LEE WATERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 7188) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 7188) |
Enumeration Date | 2006-02-24 |
Last Update Date | 2024-07-08 |