| NPI | 1932388642 |
|---|---|
| Former Name | SARA SHELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 56619) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA10235100) |
| 207Q00000X Family Medicine (Licence: VA 0101241868) | |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2021-06-19 |