NPI | 1811644891 |
---|---|
Former Name | SARAH ANGELINE TONNIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 20220005975) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5380960111) |
363LF0000X Nurse Practitioner, Family (Licence: MO 20220005975) | |
Enumeration Date | 2022-03-09 |
Last Update Date | 2023-04-19 |