| NPI | 1841303682 |
|---|---|
| Former Name | SARA ELIZABETH PHILIP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA WA MD00045950) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR OR MD26499) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-10 |