NPI | 1235744111 |
---|---|
Former Name | SARAH L PATCHES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704412422) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2321515) |
Enumeration Date | 2020-09-09 |
Last Update Date | 2024-07-15 |