NPI | 1235632464 |
---|---|
Former Name | SARA GARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3011673) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3011673) |
Enumeration Date | 2018-03-14 |
Last Update Date | 2024-03-20 |