NPI | 1376329540 |
---|---|
Former Name | SARAH CHRISTINE KINSLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188137) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001213990) |
363L00000X Nurse Practitioner (Licence: VA 0024188137) | |
Enumeration Date | 2023-09-05 |
Last Update Date | 2023-09-27 |