NPI | 1992324818 |
---|---|
Former Name | SIERRA WOLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95022859) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA RN60837016) |
Enumeration Date | 2020-04-10 |
Last Update Date | 2024-10-04 |