NPI | 1528315116 |
---|---|
Former Name | SARA J HUNGERHOLT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4921-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 165708) |
Enumeration Date | 2012-08-14 |
Last Update Date | 2025-04-08 |