NPI | 1568840924 |
---|---|
Former Name | SARAH FREIBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: LA PA.200866) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: LA permit892) |
Enumeration Date | 2015-05-18 |
Last Update Date | 2023-10-11 |