NPI | 1689729493 |
---|---|
Former Name | SARAH ELAINE SANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA07064) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085-002578) |
363AM0700X Physician Assistant, Medical (Licence: IL 085002578) | |
Enumeration Date | 2007-01-24 |
Last Update Date | 2020-05-15 |