NPI | 1750669081 |
---|---|
Other Name | SARA WYATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60585132) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201505796NP-PP) |
363LF0000X Nurse Practitioner, Family (Licence: AK 1224) | |
Enumeration Date | 2011-08-04 |
Last Update Date | 2022-05-24 |