NPI | 1215205786 |
---|---|
Former Name | REBECCA ANNE SACHS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 3344) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 3344) |
Enumeration Date | 2011-12-12 |
Last Update Date | 2020-10-08 |