NPI | 1386206647 |
---|---|
Former Name | SARAH ALLEN HUDDLESTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 154048) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 26153) |
Enumeration Date | 2019-07-07 |
Last Update Date | 2021-04-06 |