| NPI | 1003059312 |
|---|---|
| Former Name | SARA ELIZABETH WOLSCHLAG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9115320) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 2152) |
| 207P00000X Emergency Medicine (Licence: FL PA9115320) | |
| 363A00000X Physician Assistant (Licence: LA PA.200635RX) | |
| 363A00000X Physician Assistant (Licence: IL 085.005538) | |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2023-12-07 |