NPI | 1992313126 |
---|---|
Other Name | SARA JENET CHAMPION |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN11004712) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004712) |
Enumeration Date | 2020-07-14 |
Last Update Date | 2020-08-20 |