NPI | 1306257563 |
---|---|
Former Name | SARA PIKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 61952) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 61952) |
Enumeration Date | 2014-05-09 |
Last Update Date | 2020-08-18 |