NPI | 1053712083 |
---|---|
Former Name | SARAH M SAPORITO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA ma057199) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2014-09-09 |
Last Update Date | 2018-12-07 |