NPI | 1124754932 |
---|---|
Former Name | SARAH ELIZABETH NICHOLLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DE C5-0011735) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0011735) |
Enumeration Date | 2022-07-26 |
Last Update Date | 2023-09-13 |