NPI | 1083932487 |
---|---|
Former Name | SARAH BRAZIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1354) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 1354) |
363LF0000X Nurse Practitioner, Family (Licence: MN R193896-4) | |
Enumeration Date | 2010-05-10 |
Last Update Date | 2023-10-03 |