| NPI | 1255635801 |
|---|---|
| Former Name | SARA ELIZABETH PERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA57540) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA07257) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2023-08-02 |