| NPI | 1396367157 |
|---|---|
| Former Name | COURTNEY RAE SAGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 15-02434) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2021-04-14 |