| NPI | 1780189092 |
|---|---|
| Former Name | SARAH CAROL LALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 69293) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 312916) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-08-26 |