NPI | 1760166847 |
---|---|
Former Name | SHARON ROSALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1128338) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 893164) |
Enumeration Date | 2023-06-09 |
Last Update Date | 2023-08-07 |