NPI | 1205210820 |
---|---|
Former Name | SARAH KENDALL CULLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3009480) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3009480) |
363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3009480) | |
Enumeration Date | 2015-07-14 |
Last Update Date | 2019-03-14 |