NPI | 1154869667 |
---|---|
Former Name | SARAH JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9347) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 146218) |
Enumeration Date | 2017-02-03 |
Last Update Date | 2024-04-09 |