| NPI | 1831858604 |
|---|---|
| Former Name | SHARLYNN D PECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: ND L13677) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MN L740878) |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2023-09-21 |