| NPI | 1356604268 |
|---|---|
| Former Name | SARA K BAUMGART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71004026A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004026A) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2019-07-15 |