| 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 | 2020-10-28 |