NPI | 1891183158 |
---|---|
Former Name | SARA MARIE IPPOLITO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN11002398) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MI 4704296597) |
363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704296597) | |
Enumeration Date | 2015-01-08 |
Last Update Date | 2021-05-27 |