| NPI | 1427729938 |
|---|---|
| Former Name | SARAH MADISON IDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11024179) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WA RN61066735) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2023-04-17 |