NPI | 1407977093 |
---|---|
Former Name | SARAH THERESA CAYANUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MA AP2315) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9118231) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2024-04-05 |