NPI | 1720491905 |
---|---|
Former Name | SARA TREY HARCHARIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CT 61362) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CT CSP.0060452) |
207R00000X Internal Medicine (Licence: MA L-259404) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-06-05 |
Last Update Date | 2018-07-11 |