| NPI | 1407874548 |
|---|---|
| Other Name | SHARON J. CUSTARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006683) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00151982) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2015-04-17 |