NPI | 1598153777 |
---|---|
Former Name | JANINE NICOLE SARVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1616) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA003445) |
363A00000X Physician Assistant (Licence: MI 5601008618) | |
363A00000X Physician Assistant (Licence: PA MA057001) | |
Enumeration Date | 2014-12-22 |
Last Update Date | 2022-09-14 |