NPI | 1578591947 |
---|---|
Former Name | SHARON HENDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ RN105023) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R51755) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2023-12-28 |