| NPI | 1174975585 |
|---|---|
| Former Name | SAKARA IDELLA RANDKLEV |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2298231) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2298231) |
| Enumeration Date | 2016-07-09 |
| Last Update Date | 2022-01-25 |