NPI | 1164826012 |
---|---|
Former Name | SARA ANNE HOERNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277.000205) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 145470-30) |
163W00000X Registered Nurse (Licence: IL 041.265949) | |
363L00000X Nurse Practitioner (Licence: WI 6155-33) | |
363L00000X Nurse Practitioner (Licence: IL 277000205) | |
Enumeration Date | 2014-10-21 |
Last Update Date | 2022-12-05 |