| NPI | 1518911072 |
|---|---|
| Former Name | SHARON SUE CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: MN R-123181-0) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WI 2031-033) |
| 363LF0000X Nurse Practitioner Family (Licence: MN 352119-22) | |
| 163WG0000X Registered Nurse General Practice | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2007-07-08 |