| NPI | 1457826463 |
|---|---|
| Former Name | SHERRY LYNN ELLIOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 137924) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: TN 13543) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-05 |