| NPI | 1407559396 |
|---|---|
| Former Name | SARA GARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0034355) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 471504) |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2024-06-19 |