| NPI | 1760878854 |
|---|---|
| Former Name | SARAH REBECCA HENN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 79747) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2018-02-15 |