| NPI | 1326300567 |
|---|---|
| Former Name | SARA DEVITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 015632-1) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 015632-1) |
| 363AS0400X Physician Assistant, Surgical (Licence: NY 01563201) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2018-06-21 |