NPI | 1881169464 |
---|---|
Former Name | SARAH O'BRIEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9324556) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201804715NP-PP) |
Enumeration Date | 2018-10-10 |
Last Update Date | 2022-04-28 |