NPI | 1760848253 |
---|---|
Former Name | SHARHONDA GAMBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129791) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004660) |
Enumeration Date | 2016-01-13 |
Last Update Date | 2016-09-09 |