| NPI | 1306069471 |
|---|---|
| Former Name | SARA SHELBY BOBLICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301083568) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301083568) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301083568) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2012-02-06 |