NPI | 1730389917 |
---|---|
Former Name | SARAH M MARQUETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 011898) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 11898) |
Enumeration Date | 2007-07-25 |
Last Update Date | 2023-07-06 |