NPI | 1245738988 |
---|---|
Former Name | SARAH KATHERINE IRISH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN11020725) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11020725) |
363L00000X Nurse Practitioner (Licence: TX AP136296) | |
Enumeration Date | 2018-01-29 |
Last Update Date | 2024-07-10 |