NPI | 1376293589 |
---|---|
Former Name | SARA KARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MA PA100775) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 005670) |
Enumeration Date | 2022-03-29 |
Last Update Date | 2024-11-14 |