NPI | 1659992691 |
---|---|
Former Name | SARAH ELIZABETH PARKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704303681) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704303681) |
363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704303681) | |
Enumeration Date | 2020-04-30 |
Last Update Date | 2023-04-14 |