NPI | 1154094373 |
---|---|
Other Name | SARA BETH WIMSATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015629) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011460A) |
Enumeration Date | 2021-07-26 |
Last Update Date | 2023-07-31 |