NPI | 1417505876 |
---|---|
Former Name | SARA CATHERINE FOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 6078) |
Enumeration Date | 2019-08-29 |
Last Update Date | 2024-07-29 |