NPI | 1760037782 |
---|---|
Former Name | SARAH BECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IA C155242) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C155242) |
Enumeration Date | 2019-08-06 |
Last Update Date | 2023-11-15 |