NPI | 1740773274 |
---|---|
Former Name | SARAH-GRACE A CARBREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 68883) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125072833) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 68883) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125072833) | |
Enumeration Date | 2018-06-09 |
Last Update Date | 2023-06-27 |