| NPI | 1336632751 |
|---|---|
| Former Name | SARA ELAINE KWALWASSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 022091) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2022-03-31 |