NPI | 1831900745 |
---|---|
Former Name | SARA LOUISE GORTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4074266575) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704266575) |
Enumeration Date | 2025-01-20 |
Last Update Date | 2025-09-30 |