| NPI | 1114245370 | 
|---|---|
| Former Name | SARA JOSEPHINE MERRITT | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9112233) | 
| Additional Taxonomies | 363A00000X Physician Assistant | 
| 363AM0700X Physician Assistant, Medical (Licence: PA MA053442) | |
| Enumeration Date | 2010-05-12 | 
| Last Update Date | 2024-12-26 |