| 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 |