| NPI | 1346931953 |
|---|---|
| Former Name | SHARI LYNN KSOBIECH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5018130) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 157172) |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-19 |