| NPI | 1740417039 |
|---|---|
| Former Name | SARAH GRIMM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 288323) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 241076) |
| 207Q00000X Family Medicine (Licence: VT 04200543) | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2023-06-29 |