NPI | 1609125343 |
---|---|
Former Name | SARAH LYNAE BISHOP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 19581) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 19581) |
Enumeration Date | 2012-09-07 |
Last Update Date | 2023-08-10 |