NPI | 1780691006 |
---|---|
Former Name | SARAH R HYATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10000807A) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA10005238) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2013-08-27 |