NPI | 1760179436 |
---|---|
Former Name | SARAH SHANLEY MCBRIDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL AG02230013) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL AG02230013) |
Enumeration Date | 2023-04-21 |
Last Update Date | 2023-04-21 |