NPI | 1588143069 |
---|---|
Former Name | SARAH CHETHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2697) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO PA.0005436) |
363A00000X Physician Assistant | |
363AM0700X Physician Assistant, Medical (Licence: NV PA0581) | |
Enumeration Date | 2018-08-07 |
Last Update Date | 2024-03-18 |