NPI | 1588603161 |
---|---|
Former Name | SARAH A. BENOIT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110002213) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 01100022213) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2014-09-19 |