NPI | 1558817734 |
---|---|
Former Name | SARAH PILGRIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704284889) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704284889) |
Enumeration Date | 2016-08-29 |
Last Update Date | 2021-02-15 |