| NPI | 1538108733 |
|---|---|
| Former Name | SARAH JANE MCCRACKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110006668) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0001425) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2022-01-20 |