NPI | 1164852117 |
---|---|
Former Name | SARAH KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 5601006873) |
Enumeration Date | 2013-11-12 |
Last Update Date | 2020-11-17 |