NPI | 1588233878 |
---|---|
Former Name | SARAH JOLYNN MCCARTHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2022028756) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-81383-091) |
Enumeration Date | 2021-06-21 |
Last Update Date | 2023-10-04 |