NPI | 1881990984 |
---|---|
Former Name | SARAH BANQUER SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: LA AP06665) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA AP06665) |
Enumeration Date | 2011-02-07 |
Last Update Date | 2018-10-09 |