NPI | 1790207785 |
---|---|
Former Name | SARAH JANE BEUERLEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 22840) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 208333) |
363LF0000X Nurse Practitioner, Family (Licence: TN 22840) | |
Enumeration Date | 2017-07-11 |
Last Update Date | 2022-02-22 |