NPI | 1710403282 |
---|---|
Former Name | SHERYL ANN SILBAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IN 71010788A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP134743) |
Enumeration Date | 2017-08-16 |
Last Update Date | 2023-12-21 |