| NPI | 1336678739 |
|---|---|
| Former Name | SARAH B KOMIN |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209019784) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019784) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-11-16 |