| NPI | 1114225174 |
|---|---|
| Former Name | SARAH LYNN WYSOSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 2768) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 13640) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2021-06-10 |