| NPI | 1659021095 |
|---|---|
| Former Name | SARA HENRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.152683) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.252644) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2025-07-07 |