| NPI | 1891106811 |
|---|---|
| Former Name | SARAH JACKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SC 52172) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10050826) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2024-03-04 |