NPI | 1144587072 |
---|---|
Former Name | SARAH STACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NC 2018-00239) |
Enumeration Date | 2012-04-17 |
Last Update Date | 2022-12-21 |