NPI | 1700089539 |
---|---|
Former Name | SARAH ANN LEINEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 38046) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R8066) |
Enumeration Date | 2007-06-08 |
Last Update Date | 2015-06-15 |