NPI | 1356529887 |
---|---|
Former Name | SHARON LEEANN DEITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 726813) |
Enumeration Date | 2008-02-06 |
Last Update Date | 2008-02-06 |