| NPI | 1649904541 |
|---|---|
| Former Name | SHERRI LYNN RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: IN 71012939A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IN 28239524A) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: IN 28239524A) | |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2024-02-05 |