| NPI | 1023298296 |
|---|---|
| Former Name | SARAH E PENYACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 261321) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI NPP37445) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2019-04-25 |