NPI | 1922107218 |
---|---|
Former Name | DINA LEANN SHARPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 24008) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 24008) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2014-09-22 |