NPI | 1255480828 |
---|---|
Former Name | SARA LOUISE WEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP5454) |
Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: NM R38826) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2024-02-06 |