NPI | 1104245778 |
---|---|
Former Name | SARA GAIL COHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 34308) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 11680121-1205) |
Enumeration Date | 2014-04-10 |
Last Update Date | 2022-07-20 |