| NPI | 1225404692 |
|---|---|
| Former Name | SARAH ANN SPRAGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005827A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28177816A) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2016-01-04 |