NPI | 1558653568 |
---|---|
Former Name | SARA LYNN SCHROER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: MN 10953) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: MN 1548) |
Enumeration Date | 2011-05-09 |
Last Update Date | 2018-06-22 |