NPI | 1518471838 |
---|---|
Former Name | SARA BELLE BORCHARDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 8074-33) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 8074-33) |
Enumeration Date | 2017-11-22 |
Last Update Date | 2017-11-22 |