| NPI | 1578743126 |
|---|---|
| Former Name | SANDRA A WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN148845) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN148845) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 29002) | |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2021-08-24 |