| NPI | 1205060985 | 
|---|---|
| Former Name | SHARON L. VANDYKE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71002928) | 
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 28183877) | 
| Enumeration Date | 2009-05-08 | 
| Last Update Date | 2011-07-26 |