NPI | 1649905720 |
---|---|
Former Name | SARAH ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP026109) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN576702) |
Enumeration Date | 2022-07-21 |
Last Update Date | 2023-11-10 |