| NPI | 1104022565 |
|---|---|
| Former Name | SARA ANN CONDRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D76158) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 22260) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD441311) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2024-05-13 |