Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 95014853 | CA |
NPI | 1023546322 |
---|---|
Provider Name | Ms. Sarah Elizabeth Deming |
First Address | Huntington Beach, CA 92646-1912 |
Second Address | Fountain Valley, CA 92708-5153 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2017 |
Last Update Date | 21/07/2020 |