NPI | 1760914014 |
---|---|
Former Name | SARA A OSTEEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-13075) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-03-28 |
Last Update Date | 2020-09-17 |