NPI | 1619196557 |
---|---|
Former Name | SARAH ANN KLIZAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101255311) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR MD26608) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2014-04-01 |