NPI | 1407502040 |
---|---|
Former Name | SARAH ROSE PREST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2021046353) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024189936) |
363LW0102X Nurse Practitioner, Women's Health (Licence: KS 5380742101) | |
Enumeration Date | 2022-02-22 |
Last Update Date | 2024-12-19 |