NPI | 1235509480 |
---|---|
Former Name | SHARON INEZ TUCKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000020462) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R868129) |
Enumeration Date | 2015-09-30 |
Last Update Date | 2018-02-23 |