| NPI | 1952537326 | 
|---|---|
| Former Name | SARAH PHYLLIS PRADKA | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0129X  (Licence: CA a155280)  | 
| Additional Taxonomies | 2086S0129X  (Licence: NC 2015-01246)  | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-29 | 
| Last Update Date | 2019-09-10 |