| NPI | 1730549189 |
|---|---|
| Former Name | SHAREN CARIZO KEMP-DUKES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171000000X Military Health Care Provider |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-02-28 |
| Last Update Date | 2022-05-04 |