NPI | 1164719118 |
---|---|
Other Name | SHARON ANN BROCKOPP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 081031610RN) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-06-28 |
Last Update Date | 2011-06-28 |