NPI | 1023436946 |
---|---|
Former Name | SARA ELAINE WINN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35-127576) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-127576) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35127576) | |
Enumeration Date | 2014-03-29 |
Last Update Date | 2022-09-03 |