| NPI | 1710263975 |
|---|---|
| Former Name | SARAH ANN KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9106205) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9106205) |
| 363AS0400X Physician Assistant, Surgical (Licence: FL PA9106205) | |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2021-06-22 |