NPI | 1720617178 |
---|---|
Former Name | SARA JANE GERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 69579) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 69579) |
207Q00000X Family Medicine (Licence: MN 30861) | |
Enumeration Date | 2020-04-07 |
Last Update Date | 2024-11-13 |