NPI | 1306468426 |
---|---|
Former Name | SARAH A JANKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 10174-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 177562-30) |
Enumeration Date | 2020-05-12 |
Last Update Date | 2020-12-22 |