| NPI | 1124447875 |
|---|---|
| Former Name | SARAH LYNNE ST. JEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MA 4935) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA4935) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2021-06-29 |