NPI | 1134960842 |
---|---|
Other Name | SARA MARY DAMATA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA 104592980) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2363256) |
Enumeration Date | 2024-06-05 |
Last Update Date | 2024-08-26 |