NPI | 1659817864 |
---|---|
Former Name | SARAH BALDWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345045) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN666612) |
163W00000X Registered Nurse (Licence: NJ 26NR17848300) | |
163W00000X Registered Nurse (Licence: NH 074941-21) | |
363LF0000X Nurse Practitioner, Family (Licence: MA RN2291242) | |
163W00000X Registered Nurse (Licence: MA RN2291242) | |
363LF0000X Nurse Practitioner, Family (Licence: NH 074941-23) | |
Enumeration Date | 2017-01-11 |
Last Update Date | 2019-10-11 |