NPI | 1548234693 |
---|---|
Former Name | SARAH A BERTRAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD00037586) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A64795) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2021-03-16 |