NPI | 1447782487 |
---|---|
Former Name | SARAH RENEE CORDOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: AZ 75883) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NM L20367) |
207RS0012X Internal Medicine, Sleep Medicine (Licence: CO DR.0069466) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-29 |
Last Update Date | 2025-02-04 |