| NPI | 1184251050 |
|---|---|
| Former Name | SARA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 184424) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 324993) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2026-01-29 |