| NPI | 1518255660 |
|---|---|
| Former Name | SHARON KIMBERLY WOLCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0005042) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 014797) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2021-06-02 |