| NPI | 1265630719 |
|---|---|
| Former Name | SARAH CHRISTINE TRAVNICEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SD 7799) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WI NONE) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2012-09-19 |