NPI | 1881076537 |
---|---|
Former Name | SARAH RADIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD476198) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-06-18 |
Last Update Date | 2022-08-19 |