NPI | 1760968085 |
---|---|
Former Name | SARAH ANN SIEBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001409) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R040588) |
Enumeration Date | 2018-07-19 |
Last Update Date | 2024-09-10 |