NPI | 1033128947 |
---|---|
Former Name | SARA M VAN VEEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30007433) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007433) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2021-03-01 |