NPI | 1396062758 |
---|---|
Former Name | SARAH ELIZABETH LIBECAP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MT 35425) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD154303) |
Enumeration Date | 2010-04-26 |
Last Update Date | 2022-04-21 |