NPI | 1215470232 |
---|---|
Former Name | SARAH ELIZABETH MUNDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0992652-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0992652-NP) |
Enumeration Date | 2016-11-22 |
Last Update Date | 2022-07-07 |