| NPI | 1225290265 |
|---|---|
| Former Name | SARAH ELIZABETH DODGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11029) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 001906) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2013-05-16 |