NPI | 1912523432 |
---|---|
Former Name | ABBY MARIAH SONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.021655) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H159849) |
Enumeration Date | 2020-06-20 |
Last Update Date | 2021-06-10 |