NPI | 1326178476 |
---|---|
Former Name | SARAH ELIZABETH MARCOM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN14881) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN RN0000133125) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2013-12-02 |