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 | 2024-12-04 |