| NPI | 1235722380 |
|---|---|
| Former Name | SARAH REAGAN TEPOOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AL PA.1738) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL PA.1738) |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2021-11-16 |