| NPI | 1063990711 |
|---|---|
| Former Name | SARAH ANNABELLE VONKIECKEBUSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9335754) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: FL 9335357) |
| Enumeration Date | 2018-08-04 |
| Last Update Date | 2023-01-16 |