NPI | 1063984755 |
---|---|
Former Name | AUBREY MARIE SARGEANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN237890) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN237890) |
Enumeration Date | 2018-12-19 |
Last Update Date | 2018-12-19 |