| NPI | 1639341795 |
|---|---|
| Former Name | GENEVIE LOREE SHARP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 53754) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 62177) |
| 207Q00000X Family Medicine (Licence: CO CDR.0000875) | |
| 207Q00000X Family Medicine (Licence: NV 20336) | |
| 207Q00000X Family Medicine (Licence: UT 11961125-1205) | |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2021-04-29 |