| NPI | 1205166147 |
|---|---|
| Former Name | SARAH OSASU IKPONMWOSA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA08977300) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA md440236) |
| Enumeration Date | 2009-12-26 |
| Last Update Date | 2015-08-18 |