NPI | 1649571092 |
---|---|
Former Name | TWYLA MARIE SHARP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 219070) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 7607556-3102) |
Enumeration Date | 2010-11-16 |
Last Update Date | 2019-07-03 |