| NPI | 1417395963 |
|---|---|
| Former Name | SARA LOWERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2016023343) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 9408207) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2020-02-11 |