NPI | 1922496769 |
---|---|
Former Name | SARAH JIMENEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 19549) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN19549) |
Enumeration Date | 2015-01-01 |
Last Update Date | 2022-03-25 |