NPI | 1417412545 |
---|---|
Former Name | SARAH NICOLLE HENLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 757310) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 757310) |
Enumeration Date | 2019-02-03 |
Last Update Date | 2019-02-03 |