| 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 |