| NPI | 1205598067 |
|---|---|
| Former Name | SARAH ROSE EVENOSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00643900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MP00643900) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ 25MP00643900) | |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2024-10-28 |