NPI | 1376999847 |
---|---|
Former Name | SARAH ELIZABETH UZZARDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.150517) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125069182) |
Enumeration Date | 2016-05-13 |
Last Update Date | 2022-06-17 |