| NPI | 1164020152 |
|---|---|
| Former Name | SARA ANN KRULL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: WI 10617-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 168363-30) |
| 363L00000X Nurse Practitioner (Licence: WI 10617-33) | |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-12-08 |