| NPI | 1780959551 |
|---|---|
| Former Name | JOAN JEPTOO SANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN A0212100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R174751-1) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2020-04-09 |