| NPI | 1780154542 |
|---|---|
| Former Name | SARAH GIFFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 10540) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 62080) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2024-08-27 |