| NPI | 1114366036 |
|---|---|
| Former Name | SARAH J. THYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001559A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 4624) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2019-04-11 |