NPI | 1740692987 |
---|---|
Former Name | SARAH R SPOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5837-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 168438-30) |
Enumeration Date | 2014-05-22 |
Last Update Date | 2021-01-19 |