NPI | 1013419225 |
---|---|
Former Name | SANDRA MICHELLE HAMPTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24122) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN F02180713) |
Enumeration Date | 2018-03-03 |
Last Update Date | 2024-06-19 |