NPI | 1326487927 |
---|---|
Former Name | SARAH E CALLAWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201703156NP-PP) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 201703156NP-PP) |
363LP2300X Nurse Practitioner, Primary Care (Licence: LA AP07182) | |
Enumeration Date | 2013-06-18 |
Last Update Date | 2020-10-26 |