NPI | 1710574306 |
---|---|
Former Name | SARAH JOY BRULE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: ND R36904) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MN 2018029) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: ND R36904) | |
Enumeration Date | 2020-12-29 |
Last Update Date | 2021-01-16 |