NPI | 1912256744 |
---|---|
Former Name | SARA NICOLE COPLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 309490) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV APRN001966) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH 13818-NP) | |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NV APRN001966) | |
Enumeration Date | 2012-09-07 |
Last Update Date | 2024-09-16 |