| NPI | 1427417039 | 
|---|---|
| Former Name | SARA OWEN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 9654391-1206) | 
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: UT 9654391-1206) | 
| Enumeration Date | 2016-02-11 | 
| Last Update Date | 2019-12-04 |