NPI | 1366804650 |
---|---|
Former Name | SARAH STOERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704278481) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041407367) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209014069) | |
Enumeration Date | 2016-03-24 |
Last Update Date | 2022-08-26 |