| NPI | 1548877939 |
|---|---|
| Former Name | SARAH EBERSOLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-10653) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2025-01-05 |