NPI | 1336164698 |
---|---|
Former Name | SARAH MARIE TOBIAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9103558) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9103558) |
363AM0700X Physician Assistant, Medical (Licence: FL PA9103558) | |
Enumeration Date | 2006-07-13 |
Last Update Date | 2019-09-30 |