| NPI | 1144364068 |
|---|---|
| Former Name | CAROLYN GERARD SARGENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA001005L) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA OA000265L) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-07-08 |