| NPI | 1104012178 |
|---|---|
| Former Name | SARAH MARIE LIRETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA.200135.RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA PA200135) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2014-11-12 |