NPI | 1548743875 |
---|---|
Former Name | SARAH ANN KENNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1422) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2018-09-12 |
Last Update Date | 2024-05-13 |