NPI | 1811424807 |
---|---|
Former Name | SARAH KAY HENRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: TX S2385) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10061108) |
Enumeration Date | 2017-05-22 |
Last Update Date | 2023-12-29 |