NPI | 1255050167 |
---|---|
Other Name | SARA JANE WOLFE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 114559) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NE 64741) |
Enumeration Date | 2022-08-24 |
Last Update Date | 2023-01-12 |