| NPI | 1538820915 |
|---|---|
| Former Name | SARAH ANN LOLLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 0010-12533) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-12533) |
| 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-12533) | |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2024-03-16 |