NPI | 1780843649 |
---|---|
Former Name | CELESTE A SHARPLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 260843-1) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 260843) |
Enumeration Date | 2008-06-05 |
Last Update Date | 2023-07-06 |