NPI | 1437740701 |
---|---|
Former Name | SARAH JENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 15596) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 22892030) |
Enumeration Date | 2021-01-29 |
Last Update Date | 2024-07-22 |