| NPI | 1275965329 |
|---|---|
| Former Name | SARA LENNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085004769) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085-004769) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2023-03-07 |