NPI | 1982846424 |
---|---|
Former Name | SARAH ADELE GARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: GA 67800) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 67800) |
Enumeration Date | 2009-03-30 |
Last Update Date | 2025-04-10 |