| NPI | 1265627996 |
|---|---|
| Former Name | SHARON MARIE MULLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM A-1536-10) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 3834) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2015-11-09 |