| NPI | 1821482878 |
|---|---|
| Former Name | SARAH L DAVIDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VT 042.0014294) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.132338) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2021-07-01 |