| NPI | 1215063102 |
|---|---|
| Former Name | SARA L MARCINISZYN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD60514654) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX M7401) |
| 208C00000X Colon & Rectal Surgery (Licence: TX M7401) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2015-06-24 |