NPI | 1376997510 |
---|---|
Former Name | SARAH NEVAREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 299326) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-04-13 |
Last Update Date | 2020-05-07 |