| NPI | 1053565861 |
|---|---|
| Former Name | SARA LYNNE BOYLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 2300) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 103577) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2017-02-03 |