| NPI | 1295917136 |
|---|---|
| Former Name | SUE ANN SORENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10918) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: AZ RN035949) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2020-10-16 |