NPI | 1205470564 |
---|---|
Former Name | SARAH KATHRYN TEMPLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MT MED-PAC-LIC-80054) |
Enumeration Date | 2019-10-30 |
Last Update Date | 2023-02-09 |