| NPI | 1376503128 |
|---|---|
| Former Name | SANDRA LYNN WINER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: GA 057368) |
| Additional Taxonomies | 2085R0001X (Licence: WI 13630-320) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2025-07-18 |