| NPI | 1609369073 |
|---|---|
| Former Name | CARISSA MICHELLE SAWYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MN 76129) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301114961) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2024-07-31 |