NPI | 1184128431 |
---|---|
Former Name | SARAH ANN FRAZE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 310693) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 69163) |
Enumeration Date | 2018-03-21 |
Last Update Date | 2024-07-09 |