NPI | 1639456874 |
---|---|
Former Name | SARAH S KOO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R181970) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1011633) |
Enumeration Date | 2011-11-15 |
Last Update Date | 2018-09-13 |