NPI | 1972096428 |
---|---|
Former Name | SARA ELIZABETH DRISKELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9313230) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9313230) |
Enumeration Date | 2018-06-10 |
Last Update Date | 2018-10-12 |