| NPI | 1417346156 |
|---|---|
| Former Name | SARA ELIZABETH MULLINAX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 12062) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 4761) |
| 363AS0400X Physician Assistant, Surgical (Licence: TN 4761) | |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2024-01-06 |