NPI | 1104530823 |
---|---|
Former Name | SARAH LYNN HAMMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704321760) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-01-09 |
Last Update Date | 2024-03-26 |