NPI | 1487296786 |
---|---|
Former Name | SARAH ANNE ROOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 9212) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0001346) |
Enumeration Date | 2019-10-09 |
Last Update Date | 2023-07-11 |