NPI | 1053539866 |
---|---|
Former Name | SARA L VANCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35-089470) |
Additional Taxonomies | 174400000X Specialist (Licence: OH 35-089470) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2015-06-11 |