NPI | 1841757812 |
---|---|
Former Name | SANDRA JEAN SYPHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 630697) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 630697) |
163WH0200X Registered Nurse, Home Health (Licence: TX 630697) | |
Enumeration Date | 2019-02-26 |
Last Update Date | 2019-02-26 |