| NPI | 1255645024 |
|---|---|
| Former Name | SARAH ELIZABETH MANGANARO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209011847) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2261822) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 218868) | |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2022-07-21 |