| NPI | 1871264713 |
|---|---|
| Former Name | SARA MARIE KRUTZIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 11666) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 11666) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: WI 11666) | |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2022-01-24 |