NPI | 1497065254 |
---|---|
Former Name | SARA A CROSIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004216) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA054680) |
Enumeration Date | 2010-10-14 |
Last Update Date | 2016-04-28 |