NPI | 1780650952 |
---|---|
Former Name | SARAH C RADEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 3684) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-005557) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2020-09-10 |