NPI | 1699005587 |
---|---|
Former Name | SHARA JANEE BRASHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 717048) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX 717048) |
Enumeration Date | 2009-12-28 |
Last Update Date | 2012-03-20 |