NPI | 1518455179 |
---|---|
Former Name | SARAH LYNN MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996204-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1671745) |
363L00000X Nurse Practitioner (Licence: CO APN.0996204-NP) | |
363LF0000X Nurse Practitioner, Family (Licence: CA 95008449) | |
Enumeration Date | 2018-04-28 |
Last Update Date | 2021-10-05 |