NPI | 1124436894 |
---|---|
Former Name | SARAH M NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5876-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 199949-30) |
Enumeration Date | 2014-07-25 |
Last Update Date | 2022-10-21 |