NPI | 1992307045 |
---|---|
Former Name | SARAH JANE VAN NOORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: GA RN308646) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-146787) |
Enumeration Date | 2020-11-13 |
Last Update Date | 2023-01-09 |