| NPI | 1326611393 |
|---|---|
| Other Name | SARAH BETH MEDICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.023910) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041511034) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-10-01 |