NPI | 1346710324 |
---|---|
Former Name | SARAH SUZANNE KIRBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA12554) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2018-12-03 |
Last Update Date | 2019-03-04 |