NPI | 1134672355 |
---|---|
Former Name | SARAH BOLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0089139) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-07-25 |
Last Update Date | 2020-06-25 |