| NPI | 1285717124 |
|---|---|
| Former Name | SARAH KOCISKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 3524) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 3524) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2024-04-11 |