| NPI | 1306252929 |
|---|---|
| Former Name | SARAH J PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ POD-000914) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E5336) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2020-11-23 |