NPI | 1265044903 |
---|---|
Former Name | SARAH E CORREIRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2294822) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02428) |
Enumeration Date | 2020-08-22 |
Last Update Date | 2024-09-08 |