NPI | 1053509570 |
---|---|
Former Name | SARAH HEINLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 3758) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R29775) |
Enumeration Date | 2007-10-10 |
Last Update Date | 2023-02-01 |