NPI | 1902587280 |
---|---|
Former Name | SARAH CONDRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 84490) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: KS 122237) |
Enumeration Date | 2023-07-28 |
Last Update Date | 2025-08-26 |