| NPI | 1558611772 |
|---|---|
| Former Name | SARAH ANN MATTAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5016870) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 5147) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 005147) | |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2022-09-13 |