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 |