NPI | 1740245638 |
---|---|
Former Name | SARA L PECKHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0429451) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 0429451) |
Enumeration Date | 2006-04-20 |
Last Update Date | 2020-03-20 |