| NPI | 1144659392 |
|---|---|
| Former Name | SARAH GROSSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085004722) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 85004722) |
| 363AS0400X Physician Assistant, Surgical (Licence: IL 385.003397) | |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2023-02-23 |