NPI | 1831263953 |
---|---|
Former Name | SARA J SNYDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR PA156489) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA10005107) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2012-04-06 |