NPI | 1467162016 |
---|---|
Former Name | SARAH RAE CHERNOHORSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 13589-33) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 2021101461) |
Enumeration Date | 2022-12-05 |
Last Update Date | 2023-02-09 |