NPI | 1497140917 |
---|---|
Former Name | SARAH R RICHARDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209014150) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2015009464) |
Enumeration Date | 2015-04-01 |
Last Update Date | 2023-10-29 |