NPI | 1376944637 |
---|---|
Former Name | SARA A KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 74101) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV F0914132) |
Enumeration Date | 2014-09-05 |
Last Update Date | 2019-03-28 |