| NPI | 1508396235 |
|---|---|
| Former Name | SHARON RENEE KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704248029) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704248029) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704248029) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2023-02-02 |