| NPI | 1245857036 |
|---|---|
| Former Name | SARAH MARIAH PETH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2023009377) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2020019023) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2023-05-11 |