NPI | 1023650900 |
---|---|
Former Name | SARAH C LATHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AR A005808) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A005808) |
Enumeration Date | 2019-10-12 |
Last Update Date | 2023-05-31 |