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 |