NPI | 1730853151 |
---|---|
Former Name | SARAH MAE BRUNELLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016884) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5016884) |
Enumeration Date | 2021-08-09 |
Last Update Date | 2024-10-01 |