NPI | 1861442915 |
---|---|
Former Name | SARAH LYNN PERTZBORN POWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SD 6016) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA 36300) |
207Y00000X Otolaryngology (Licence: FL ME86858) | |
Enumeration Date | 2006-05-11 |
Last Update Date | 2023-04-12 |