NPI | 1760613541 |
---|---|
Former Name | SARAH ELIZABETH TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0004016) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MD C0004016) |
Enumeration Date | 2009-07-28 |
Last Update Date | 2022-04-07 |