NPI | 1548028053 |
---|---|
Former Name | SARA J PEARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 11376) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 11376) |
363LP2300X Nurse Practitioner, Primary Care (Licence: MN 11376) | |
Enumeration Date | 2024-03-08 |
Last Update Date | 2024-03-12 |