| NPI | 1558772335 |
|---|---|
| Former Name | SARA EMILY ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 25122) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS T-2782) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2017-08-11 |