| NPI | 1457148330 |
|---|---|
| Former Name | SARA RYAN PAGANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 3066) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA2895) |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-11-19 |