NPI | 1750616074 |
---|---|
Former Name | SARAH CATHERINE BAUER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601006663) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.003598) |
Enumeration Date | 2009-10-04 |
Last Update Date | 2021-03-10 |