NPI | 1942458260 |
---|---|
Former Name | SARAH E FEDEWA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209007232) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IL 041338008) |
Enumeration Date | 2008-08-28 |
Last Update Date | 2024-05-01 |