| NPI | 1689044208 |
|---|---|
| Former Name | SARAH WALLACE MCCLURE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024172979) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: VA 0001263301) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2022-06-06 |