NPI | 1265055313 |
---|---|
Former Name | SARAH HOBAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: KS 15-02436) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-05-23 |
Last Update Date | 2023-12-16 |