NPI | 1114145778 |
---|---|
Former Name | SARAH ANN GATZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AZ 5337) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101016398) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2010-01-05 |