NPI | 1871080754 |
---|---|
Former Name | SARAH BODES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-17894) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 11393133-1205) |
Enumeration Date | 2018-04-17 |
Last Update Date | 2024-08-01 |