NPI | 1366273104 |
---|---|
Former Name | SARA JO HUNLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 36543) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 238476) |
Enumeration Date | 2024-08-13 |
Last Update Date | 2024-11-15 |