NPI | 1992062897 |
---|---|
Former Name | SARAH GRANIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: LA MD208078) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207Q00000X Family Medicine (Licence: LA 208078) | |
Enumeration Date | 2012-04-16 |
Last Update Date | 2016-10-26 |