| NPI | 1306276936 |
|---|---|
| Former Name | SARA B REVELLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 23300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 757303) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2014-02-05 |