NPI | 1780020289 |
---|---|
Former Name | SARA ELIZABETH WOZNY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MT203656) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D80826) |
Enumeration Date | 2013-05-12 |
Last Update Date | 2016-06-08 |