| NPI | 1336464908 |
|---|---|
| Former Name | SARA LYN MINIACI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: OH 35.128043) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 128043) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2024-05-01 |