NPI | 1922410802 |
---|---|
Former Name | SARAH CAMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001862) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11001862) |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL3235) | |
Enumeration Date | 2014-05-27 |
Last Update Date | 2023-07-25 |