| NPI | 1225276025 |
|---|---|
| Former Name | SHERI KETCHUM WELLBORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP03909) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN077439) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2013-08-28 |