| NPI | 1255074845 |
|---|---|
| Former Name | SARAH JO CHALBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0009351) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-05-23 |