NPI | 1063420446 |
---|---|
Former Name | SARA J FREYMILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 100036-030) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 886-033) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2007-07-08 |