NPI | 1972794303 |
---|---|
Former Name | SARAH LYNN KAUFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 4019) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704234928) |
Enumeration Date | 2007-08-09 |
Last Update Date | 2021-06-03 |