NPI | 1598409435 |
---|---|
Former Name | SARAH MARIE WAHLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021028647) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 180069) |
Enumeration Date | 2022-04-26 |
Last Update Date | 2022-08-15 |