NPI | 1871805044 |
---|---|
Former Name | TARA LYNN SABBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 54581) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6330) |
Enumeration Date | 2010-07-05 |
Last Update Date | 2020-10-27 |