NPI | 1184193070 |
---|---|
Former Name | SARAH MARIE HANSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1617) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ND PAC0758) |
Enumeration Date | 2018-11-20 |
Last Update Date | 2022-03-21 |