NPI | 1013556935 |
---|---|
Former Name | SARAH MICHELLE CAMPBELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13147) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX PA13147) |
363AM0700X Physician Assistant, Medical (Licence: TX PA13147) | |
Enumeration Date | 2019-12-23 |
Last Update Date | 2019-12-23 |