NPI | 1356890982 |
---|---|
Former Name | SARAH ELIZABETH KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 21894) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5008920) |
Enumeration Date | 2016-09-23 |
Last Update Date | 2021-01-19 |