NPI | 1528264900 |
---|---|
Former Name | SHERRY ELAINE BOWEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002414A) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71002414A) |
Enumeration Date | 2007-06-22 |
Last Update Date | 2023-11-27 |