| NPI | 1912256744 |
|---|---|
| Former Name | SARA NICOLE COPLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NV APRN001966) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH 13818-NP) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV APRN001966) | |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2015-08-20 |