| NPI | 1508271412 |
|---|---|
| Former Name | SARA MOEHLENBROCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MN R196968-7) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2022-08-31 |