| NPI | 1891890372 |
|---|---|
| Former Name | SARAH WITTKOPF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704236202) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704236202) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2021-01-21 |