| NPI | 1598317828 |
|---|---|
| Former Name | SARA MARTINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 6761) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA060962) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2024-11-04 |