NPI | 1548503881 |
---|---|
Former Name | SARAH NICOLE ROWAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.2409) |
Additional Taxonomies | 101Y00000X Counselor |
363A00000X Physician Assistant (Licence: ID PA-2123) | |
363AM0700X Physician Assistant, Medical (Licence: ID PA-2123) | |
363AS0400X Physician Assistant, Surgical (Licence: ID PA-2123) | |
Enumeration Date | 2013-04-05 |
Last Update Date | 2024-07-08 |