NPI | 1396264578 |
---|---|
Former Name | SARAH RACHAEL POPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA2001) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60909725) |
363A00000X Physician Assistant | |
Enumeration Date | 2017-09-19 |
Last Update Date | 2020-03-10 |