NPI | 1295764736 |
---|---|
Former Name | SARAH A RICHARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 1798) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WI 1798) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2021-11-02 |