NPI | 1164811576 |
---|---|
Former Name | SHARMA FULLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2718912) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2718912) |
Enumeration Date | 2015-01-22 |
Last Update Date | 2024-10-29 |