NPI | 1396066858 |
---|---|
Former Name | SARAH LYNN PETTIGREW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AL 32462) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-06-18 |
Last Update Date | 2014-03-31 |