| NPI | 1881129146 |
|---|---|
| Former Name | SARA JEAN RENGERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 55535) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: ID 55535) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2023-08-08 |