Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 0101273303 | VA |
NPI | 1093151995 |
---|---|
Provider Name | Ahnika Sarah Kline |
First Address | Bethesda, MD 20892-1911 |
Second Address | Bethesda, MD 20892-1911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2013 |
Last Update Date | 06/12/2021 |