NPI | 1477093870 |
---|---|
Former Name | SARAH PULLAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MD C0007625) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA058862) |
Enumeration Date | 2017-03-03 |
Last Update Date | 2021-06-14 |