| NPI | 1023479995 |
|---|---|
| Former Name | SARAH ELIZABETH SHOUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340272) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 678660) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2019-01-24 |