NPI | 1164085882 |
---|---|
Former Name | SARAH ASHOUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 024666) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 10342) |
Enumeration Date | 2019-04-18 |
Last Update Date | 2022-01-20 |