| NPI | 1811637358 |
|---|---|
| Former Name | SARAH ANN HODGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3017573) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71012624A) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3017573) | |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-11-14 |