| NPI | 1104345578 |
|---|---|
| Former Name | SARA JO CHRISTIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024130) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134198) |
| Enumeration Date | 2017-09-16 |
| Last Update Date | 2019-05-28 |