| NPI | 1346776598 |
|---|---|
| Former Name | SARAH ANNE BACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN.135370-M-IV) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.458874) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2019-04-29 |