NPI | 1346837002 |
---|---|
Former Name | ANASTACIA MARIE SORG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: IN 71012266A) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IN 28093774A) |
364S00000X Clinical Nurse Specialist (Licence: IN 71012266A) | |
364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IN 71012266A) | |
Enumeration Date | 2020-12-29 |
Last Update Date | 2022-05-03 |