NPI | 1922492453 |
---|---|
Former Name | SARAH E. GARDNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: IL 036-155284) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036155284) |
Enumeration Date | 2015-03-23 |
Last Update Date | 2024-05-09 |