NPI | 1336575778 |
---|---|
Former Name | SARAH ELIZABETH CARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA.200659) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: LA PA.200659) |
Enumeration Date | 2013-09-17 |
Last Update Date | 2021-10-13 |