NPI | 1649512567 |
---|---|
Former Name | SARAH SHEWMAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01076954A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01076954A) |
207Q00000X Family Medicine (Licence: IN 11017010A) | |
207R00000X Internal Medicine (Licence: IN 11017010A) | |
Enumeration Date | 2013-03-18 |
Last Update Date | 2022-06-16 |