NPI | 1497929830 |
---|---|
Former Name | SARA M KERSHISNIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2008005001) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MO 2008005001) |
Enumeration Date | 2008-04-16 |
Last Update Date | 2015-03-19 |