NPI | 1790515294 |
---|---|
Former Name | SARAH MCMANIMIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 2024029378) |
Enumeration Date | 2024-08-07 |
Last Update Date | 2024-08-07 |