NPI | 1114174984 |
---|---|
Former Name | SARAH BETH LOVEGROVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY 1157) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 1638) |
363A00000X Physician Assistant (Licence: KY TC043) | |
Enumeration Date | 2008-08-25 |
Last Update Date | 2023-03-07 |