NPI | 1043696990 |
---|---|
Former Name | SARAH WOMACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK 99167) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 99167) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-08-03 |
Last Update Date | 2023-10-11 |