NPI | 1700410214 |
---|---|
Former Name | SARAH BRYANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61041957) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61039525) |
Enumeration Date | 2020-02-24 |
Last Update Date | 2020-02-24 |