| NPI | 1285948703 |
|---|---|
| Former Name | SARAH GRACE BOTELHO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA21731) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 005951) |
| 363A00000X Physician Assistant (Licence: FL 9112077) | |
| 363A00000X Physician Assistant (Licence: VA 0110003353) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2019-07-10 |