| NPI | 1578925277 |
|---|---|
| Former Name | SARAH ELIZABETH SAMPLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 59.000643) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MT MED-POD-LIC-76392) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-04-24 |