NPI | 1538138318 |
---|---|
Former Name | SHARON A. TRUEDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-001332) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209-001332) |
Enumeration Date | 2006-03-15 |
Last Update Date | 2020-02-07 |