| NPI | 1487288825 |
|---|---|
| Former Name | SARAH THIBODEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110011914) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA66469) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2026-06-18 |