NPI | 1699960088 |
---|---|
Former Name | SARAH JEAN GRABOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.008022) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 3210-33) |
Enumeration Date | 2007-09-10 |
Last Update Date | 2022-01-05 |