| NPI | 1093104119 |
|---|---|
| Former Name | SARAH WENTWORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 2276958) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 6050) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2022-07-21 |