| NPI | 1558593848 |
|---|---|
| Former Name | SARA HELEN GRACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 075486) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0003505) |
| 363A00000X Physician Assistant (Licence: FL PA9105082) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2024-04-22 |