| NPI | 1679721245 |
|---|---|
| Former Name | SARA KATHLEEN VAN WINKLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA 51668) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID PA-760) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2019-06-10 |