NPI | 1689308280 |
---|---|
Former Name | SARAH N HOLLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP025799) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NR26574800) |
Enumeration Date | 2022-07-11 |
Last Update Date | 2025-02-05 |