| NPI | 1235608928 |
|---|---|
| Former Name | SHERRI SHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 112630) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 40173.1812) |
| Enumeration Date | 2018-11-25 |
| Last Update Date | 2018-12-15 |