| NPI | 1154652477 |
|---|---|
| Former Name | SARAH KATHRYN BOLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 102588) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA1211) |
| 363A00000X Physician Assistant (Licence: NY 014239) | |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2015-12-10 |