| NPI | 1952537326 |
|---|---|
| Former Name | SARAH PHYLLIS PRADKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA a155280) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (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 |