NPI | 1003869561 |
---|---|
Former Name | SARAH L CONNELLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI NPP37339) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN27508) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2013-09-05 |