NPI | 1578986857 |
---|---|
Former Name | SARA NOONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 11519) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9106764) |
Enumeration Date | 2014-01-22 |
Last Update Date | 2023-05-24 |