NPI | 1467665810 |
---|---|
Other Name | SHARON ANN LORENTZEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: ND R11675) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R11675) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2013-04-01 |