NPI | 1184373383 |
---|---|
Former Name | SARAH MARIE VANHOUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11995-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 239286-30) |
Enumeration Date | 2022-03-23 |
Last Update Date | 2022-12-14 |