Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | SP023245 | PA |
NPI | 1093308686 |
---|---|
Provider Name | Mrs. Sara Munroe |
First Address | Monaca, PA 15061-2637 |
Second Address | Pittsburgh, PA 15224-1722 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2021 |
Last Update Date | 17/02/2021 |