NPI | 1831548478 |
---|---|
Former Name | SARA SCHLICHTING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209014208) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014208) |
Enumeration Date | 2016-06-04 |
Last Update Date | 2023-03-07 |