| NPI | 1063995314 |
|---|---|
| Former Name | SARA BRADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 4691) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA 60870890) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2022-03-21 |