NPI | 1235509068 |
---|---|
Former Name | SABRINA MARIE MUPO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 834607) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 867055) |
363L00000X Nurse Practitioner (Licence: AZ TELE307311) | |
363LF0000X Nurse Practitioner, Family (Licence: CA 95003185) | |
Enumeration Date | 2015-10-06 |
Last Update Date | 2024-06-27 |