NPI | 1902289234 |
---|---|
Former Name | SARAH MORENCY RUDOLPH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP221651) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 686949) |
163W00000X Registered Nurse (Licence: ME RN84158) | |
163W00000X Registered Nurse (Licence: NJ 26NR18425700) | |
363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00635000) | |
363LF0000X Nurse Practitioner, Family (Licence: NY 340324) | |
Enumeration Date | 2015-07-06 |
Last Update Date | 2023-08-22 |