NPI | 1043982234 |
---|---|
Former Name | SARAH OGREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 11313-33) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 11313-33) |
Enumeration Date | 2021-10-05 |
Last Update Date | 2024-03-07 |