NPI | 1285277681 |
---|---|
Former Name | SARAH MARIE TALBOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26442) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 0000026442) |
Enumeration Date | 2019-10-18 |
Last Update Date | 2022-03-24 |