NPI | 1215557996 |
---|---|
Former Name | SARAH MILBOCKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101027608) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101027608) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-22 |
Last Update Date | 2024-11-11 |