NPI | 1558407080 |
---|---|
Former Name | SHARON A. SMALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14135) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3001586) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2011-04-22 |