NPI | 1205488764 |
---|---|
Former Name | SARA MARIE HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 26198) |
Enumeration Date | 2019-07-14 |
Last Update Date | 2020-06-09 |