NPI | 1760975767 |
---|---|
Former Name | SARAH ELIZABETH NICOL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP032214) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343368) |
163W00000X Registered Nurse (Licence: NY 745357) | |
Enumeration Date | 2018-06-13 |
Last Update Date | 2025-09-08 |