| NPI | 1518513639 |
|---|---|
| Former Name | SARAH LYNNE WIEDERHOFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6796) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 6796) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2022-08-29 |