NPI | 1366996076 |
---|---|
Former Name | SABRINA NOELLE RANDALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9269862) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4029892) |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0037985) | |
363LF0000X Nurse Practitioner, Family (Licence: AL 3-001958) | |
363LF0000X Nurse Practitioner, Family (Licence: CO 3-001958) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP61627345) | |
363LF0000X Nurse Practitioner, Family (Licence: MI 4704349572) | |
Enumeration Date | 2016-08-10 |
Last Update Date | 2024-11-29 |