NPI | 1134728850 |
---|---|
Former Name | SARAH ELIZABETH BECKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5015592) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP022283) |
Enumeration Date | 2020-10-23 |
Last Update Date | 2023-01-03 |