| NPI | 1740731801 |
|---|---|
| Former Name | SARA ANN LYNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA058675) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA058675) |
| 363AM0700X Physician Assistant, Medical (Licence: PA OA003963) | |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2022-03-31 |