| NPI | 1194228767 |
|---|---|
| Former Name | SARAH STEPHENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 9239) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL PA.1334) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2020-08-18 |