Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0402X | Child Neurologist | E-6618 | AR |
Y | 2084N0402X | Child Neurologist | MD044278 | DC |
NPI | 1326252313 |
---|---|
Provider Name | Dr. Sarah Beth Mulkey |
First Address | Baltimore, MD 21297-3215 |
Second Address | Washington, DC 20010-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 22/06/2016 |