NPI | 1538321971 |
---|---|
Former Name | SARAH A KRISMANITS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: IA 04989) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101017596) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2021-01-08 |