NPI | 1790386886 |
---|---|
Former Name | SARA BROOKE BARBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71010505A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28177312A) |
Enumeration Date | 2020-11-04 |
Last Update Date | 2024-01-02 |