NPI | 1003984964 |
---|---|
Former Name | SARAH ANN CZOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 51517) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ME EC-05-010) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2021-03-17 |