| 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 | 2019-11-08 |