NPI | 1619663028 |
---|---|
Former Name | SARAH BETH COLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37364) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 239702) |
Enumeration Date | 2023-04-18 |
Last Update Date | 2024-10-15 |