NPI | 1790544468 |
---|---|
Former Name | SHARLENE BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 289186-4405) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: UT 289186-3102) |
Enumeration Date | 2024-03-15 |
Last Update Date | 2025-05-08 |