NPI | 1932556339 |
---|---|
Former Name | SARAH ELLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD471028) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD471028) |
Enumeration Date | 2016-05-16 |
Last Update Date | 2023-04-07 |