| NPI | 1386994028 |
|---|---|
| Former Name | SARAH A PANKONIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1328) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1647501) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2021-04-29 |