NPI | 1558633198 |
---|---|
Former Name | SARA CAROLINE BEHNKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-13414) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60421565) |
363A00000X Physician Assistant (Licence: NY 016923) | |
Enumeration Date | 2012-01-28 |
Last Update Date | 2023-09-20 |