NPI | 1801112792 |
---|---|
Former Name | SARA A BRASWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA11528-NP) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH RN318517) |
363L00000X Nurse Practitioner (Licence: OH COA.11528-NP) | |
Enumeration Date | 2010-04-16 |
Last Update Date | 2014-11-07 |