| NPI | 1154733699 |
|---|---|
| Former Name | SARAH RAE O'CONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12602) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 3302-23) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2019-05-07 |