| NPI | 1356882112 |
|---|---|
| Former Name | SARA KELSEY OSBORNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110007681) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-07136) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2021-07-27 |