NPI | 1285702381 |
---|---|
Former Name | SABINE CYRUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168360) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 20NJ00016100) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2023-11-13 |