| NPI | 1497389050 |
|---|---|
| Former Name | SARA A MAISONET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL APRN11006358) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL NA) |
| Enumeration Date | 2020-02-23 |
| Last Update Date | 2020-05-27 |