NPI | 1669966123 |
---|---|
Former Name | SARAH C MAST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71008203A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY K346010) |
Enumeration Date | 2018-06-19 |
Last Update Date | 2024-11-05 |