| NPI | 1295324895 |
|---|---|
| Former Name | SARA WINGATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 322814) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 31353) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 24589) | |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2024-01-25 |