NPI | 1841437332 |
---|---|
Former Name | SARAH E THEESFELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9420488) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010151) |
Enumeration Date | 2009-01-21 |
Last Update Date | 2022-10-20 |