NPI | 1972916773 |
---|---|
Former Name | SARAH M ZIELKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-76337-081) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60316269) |
363LF0000X Nurse Practitioner, Family (Licence: OR 201250188NP) | |
Enumeration Date | 2014-06-09 |
Last Update Date | 2018-05-23 |