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 | 2024-07-15 |