| NPI | 1740675313 |
|---|---|
| Former Name | SARA ELIZABETH CAMPOREALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP014890) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN633097) |
| 163W00000X Registered Nurse (Licence: NY 629946-1) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |