NPI | 1083964290 |
---|---|
Former Name | SARAH TENCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 202981) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 31573) |
Enumeration Date | 2012-09-14 |
Last Update Date | 2023-03-31 |