| NPI | 1376970350 |
|---|---|
| Former Name | ANNE SANFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA101188) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 1645) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 016942) | |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2025-02-12 |