NPI | 1205893328 |
---|---|
Former Name | SHARON ELIZABETH RUPERT UNDERWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201250019NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00068423) |
163W00000X Registered Nurse (Licence: OR 201240347RN) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP30003947) | |
Enumeration Date | 2006-05-01 |
Last Update Date | 2013-09-12 |