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 |