| NPI | 1780228312 |
|---|---|
| Former Name | SHAREL RANDOLPH WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA F06191083) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2023-09-14 |