NPI | 1295921302 |
---|---|
Former Name | SARAH E GORES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2003017472) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MO 2003017472) |
Enumeration Date | 2007-09-21 |
Last Update Date | 2020-10-27 |