| NPI | 1184071011 |
|---|---|
| Former Name | SARAH ANN HIVELY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 20221) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 161095) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |