| NPI | 1760717219 |
|---|---|
| Former Name | LAURA SHARP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA00737) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: RI PA00737) |
| 363A00000X Physician Assistant (Licence: MA PA3844) | |
| 363AS0400X Physician Assistant, Surgical (Licence: MA pa3844) | |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2020-09-30 |