NPI | 1437350915 |
---|---|
Former Name | SARA JAN KVAMME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 1919) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA10005179) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2013-03-15 |