NPI | 1518456821 |
---|---|
Former Name | SARAH OLIVIA CHRISMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.017379) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS18766) |
208000000X Pediatrics (Licence: FL OS18766) | |
Enumeration Date | 2018-05-02 |
Last Update Date | 2024-08-05 |