NPI | 1184384000 |
---|---|
Former Name | SARAH ELIZABETH LENNON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 070473-23) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 070473-23) |
Enumeration Date | 2021-12-20 |
Last Update Date | 2022-01-10 |