NPI | 1396037396 |
---|---|
Former Name | SARAH ELIZABETH TERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM CNP 01789) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 10108) |
Enumeration Date | 2011-05-09 |
Last Update Date | 2011-08-30 |