| NPI | 1922463041 |
|---|---|
| Former Name | TINA MARIE SHARPSHAIR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRNCNP18400) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA 18400-NP) |
| 363L00000X Nurse Practitioner (Licence: OH RN237285 1) | |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2022-07-05 |