NPI | 1013209659 |
---|---|
Former Name | SARA ANN MILBURN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006926) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006926) |
Enumeration Date | 2011-05-13 |
Last Update Date | 2023-07-17 |