NPI | 1386229284 |
---|---|
Former Name | SARAH KENWORTHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP025714) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309598-01) |
Enumeration Date | 2021-03-11 |
Last Update Date | 2022-12-09 |