NPI | 1164616108 |
---|---|
Former Name | SARAH MCKENDRICK GROW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601005040) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 5601005040) |
363AS0400X Physician Assistant, Surgical (Licence: MI 5601005040) | |
Enumeration Date | 2007-09-04 |
Last Update Date | 2010-09-03 |