NPI | 1922848662 |
---|---|
Former Name | SARA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 308015) |
Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: AZ RN215739) |
Enumeration Date | 2024-05-30 |
Last Update Date | 2025-05-22 |