NPI | 1619748308 |
---|---|
Former Name | SARAH HEITZMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: KY 1163149) |
Enumeration Date | 2024-01-11 |
Last Update Date | 2024-01-11 |