NPI | 1598049322 |
---|---|
Former Name | SARAH ROSE OLSZEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 3075-23) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002226A) |
Enumeration Date | 2011-09-28 |
Last Update Date | 2019-08-30 |