| NPI | 1609612308 |
|---|---|
| Former Name | SARAH NICOLE BASHA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1174034) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 944977) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1174034) | |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-12-17 |