NPI | 1932726882 |
---|---|
Other Name | SARAH MAE MICHAELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS042763) |
Additional Taxonomies | 122300000X Dentist (Licence: WV WV4503) |
Enumeration Date | 2020-06-26 |
Last Update Date | 2023-12-13 |