| NPI | 1942564935 |
|---|---|
| Former Name | SHARON DENNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 015884) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 363AS0400X Physician Assistant, Surgical (Licence: NY 015884) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2019-01-31 |